AboutGurmander Singh Kohli Expertise I can answer almost all questions about plastic surgery.
Experience I am a plastic surgeon certified by the American Board of Plastic Surgery I am full time faculty at the University of Loma Linda Department of Plastic Surgery.
Organizations Member of the American Society of Plastic Surgeons, Inc.
Education/Credentials Glasgow University School of Medicine, M.b., Ch.B., M.D.
Boston University Hospital and Medical Center- General Surgery.
Boston University Hospital and Medical Center- Plastic Surgery
Question I was wondering if you might be able to answer my question regarding meso therapy. I had a problem with sagging skin under my chin after I lost 75 lbs and it always bugged me. I was inquiring about meso the last week at a local lazer clinic in my home town and the R.N who does the injections decided that it would help me and would make me her poster child. She did the injections and told me that I would have some swelling....by evening I looked like Jaba the hut from star wars! It felt as though I was carrying about 2 lbs of flesh under my chin! The swelling has subsided but, I have about a golf ball sized ball of whatever there now. It feels quite firm to touch and is still quite tender. I called the office and they told me that this was perfectly normal and would go away. I believe it might but if this stuff is supposed to liquidfy the fat, then why does it feel so firm? I have to tell you I am more than a little nervous and that she may have went to deep with the injections. What do you think? When I seen it done on CBS they seemed to be using a very small needle and barely inserting it. Am I wrong?
Thanks Gloria
Answer I have no personal and hands on experience with mesotherapy but I have studied it and have enough knowledge about the science that I can say that the technology has applications and can help some people with some conditions. "Individual results may vary" is the warning with any new technology which deals with multiple factors. The "lump" that you are describing may be an area of fat necrosis and should go away. I would recommend that you follow up with doctor who is supervising the treatments given by the RN. The doctor is best qualified to answer your questions and reassure you or to recommend any treatment that may be necessary as in some situations early treatment of the complication may prevent it from resulting in a less than optimum result. Ask if massage would be helpful and ask if there is anything you can do to hasten the softening of the mass or prevent from permanent scar tissue formation.
